Indiana
Professional Licensing Agency
Whitney G. Gerz
Radiology Provisional Permit
License number
XP502380
Date granted
02/25/2010
Date expires
08/25/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46807-1049
indianalicensing.org
ID 8491079
LAST UPDATED 2024-04-06 21:39:24 UTC
LAST UPDATED 2024-04-06 21:39:24 UTC
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